Friday, October 11, 2019

FILM SALUTING DIRECT SUPPORT PROFESSIONALS: TOMORROW NIGHT!


Repeating my message about tomorrow night’s FREE film saluting DSPs:

I’ve written a lot recently about direct support professionals, and among other things I mentioned a film called “Invaluable,” created at the University of Minnesota, which I saw this summer at the NACDD conference of councils on developmental disabilities in New Orleans .  I’m thrilled to say that there is going to be a free local screening of this movie by the national Arc on October 12, 4-6:30 P.M., and you can RSVP to attend it here:  https://tinyurl.com/y5qr73dk.  It will be happening at the Grand Hyatt Hotel, 1000 H St NW, where the Arc’s national conference is also taking place – but you don’t need to register for the conference in order to attend the film (and free reception), so sign up today for this very timely show!

And stay tuned to my blog for another post on important new local developments!

Saturday, September 21, 2019

Keep Celebrating Direct Support Professionals!



Before getting to my main message, I want to let you know that anyone who was unable to attend the D.C. statehood hearing live can view it here:  https://www.youtube.com/watch?v=ZKpD8Fyo2R8.  The hearing was amazing, and a historic moment in the movement toward recognition of the full rights of D.C. citizens with and without disabilities.  The turnout was tremendous – two overflow rooms and also hundreds in Spirit of Justice Park.  Unforgettable.

I’ve written a lot recently about direct support professionals, and among other things I mentioned a film called “Invaluable,” created at the University of Minnesota, which I saw this summer at the NACDD conference of councils on developmental disabilities in New Orleans .  I’m thrilled to say that there is going to be a free local screening of this movie by the national Arc on October 12, 4-6:30 P.M., and you can RSVP to attend it here:  https://tinyurl.com/y5qr73dk.  It will be happening at the Grand Hyatt Hotel, 1000 H St NW, where the Arc’s national conference is also taking place – but you don’t need to register for the conference in order to attend the film (and free reception), so sign up today for this very timely show!

Wednesday, September 18, 2019

#ShowUp4DC

Wondering where to meet up tomorrow for the D.C. statehood hearing in the U.S. House of Representatives?  You've found it!



Be there at 9:15 to stand with your D.C. Developmental Disabilities Council (https://ddc.dc.gov/) in favor of D.C. statehood!

Tuesday, September 10, 2019

D.C. STATEHOOD HEARING SEPTEMBER 19: BE THERE!


I’ve written in earlier posts about the hearing on September 19 (next week!) in the U.S. House of Representatives on Representative Norton’s D.C. statehood bill.  The hearing will start at 10:00 in the Rayburn House Office Building, and more information can be found here: https://www.showup4dc.com/.  .

It’s so important for as many D.C. residents and other supporters of D.C. citizens’ rights to show up and demonstrate that people care about democracy for the District!  And having a good crowd of local disability advocates would be an especially strong statement that REAL PEOPLE live in D.C. and WE DESERVE OUR RIGHTS!

The accessible entrance for the Rayburn Building is at the horseshoe drive on South Capitol St. SW.  Join me there by 9:15 on the morning of Thursday, September 19 so we can make a visible difference in support of D.C. statehood!  Show Up for D.C. and bring your friends!   https://www.showup4dc.com/

Image result for D.C. FLAG

Tuesday, August 27, 2019

Direct Support Professionals in the Limelight


Many of you are out of town right now, but those who are not may have heard or read one of these news items concerning the DSP Academy, hosted by RCM of Washington (https://rcmofwashington.com/) and funded by DDS (https://dds.dc.gov/):



This is an exciting new initiative that has potential both to expand the local pool of direct support professionals (DSPs) and to offer more employment options to people with disabilities.  It’s a great program that hopefully will expand in future. 

Also noteworthy in this regard is UDC’s addition of a DSP career pathway to their workforce curriculum:

These are welcome new developments on the DSP front locally, although the shortage of DSPs here and around the country continues to be acute.  When I attended the meeting of the National Association of Councils on Developmental Disabilities (NACDD) in July, we viewed an important film called “Invaluable” addressing the essential and demanding role played by DSPs nationwide – you’ll find a short clip from this film here:  http://www.supportedliving.com/page-1646896, but I hope we can arrange for a local viewing of the entire film before long.

You’ll recall that there was a hearing in the D.C. Council back in June to discuss pending legislation concerning compensation for DSPs in D.C.  I discussed that hearing in this blog post:  https://www.ddinwdc.com/2019/06/a-fair-deal-for-direct-support.html.  I haven’t heard much about the legislation since that time, but I hope that will change when the council (https://dccouncil.us/) returns from its recess in mid-September.

Saturday, August 17, 2019

The Health Initiative has Opened the Door



In the wake of last week’s offer by Deputy Mayor Turnage’s office to extend the Georgetown contract only if advocates could identify specific gaps in the DDS transition plan (https://dds.dc.gov/sites/default/files/dc/sites/dds/page_content/attachments/DDSGeorgetownUCEDDPlan-71919.pdf), there have been follow-up approaches to the administration, but these met only with the response that Turnage has responsibility for this matter and has  already given the Bowser administration’s position. 

This episode has galvanized the advocacy community and is giving rise to a lot of discussion about next steps.  There is widespread recognition that the failure in this case to engage and consult with stakeholders long before the deed was done was no exception, and that it’s essential to ramp up the voice of the disability community in developing the vision and strategy for D.C. disability supports in the coming years.  At the same time, it also is absolutely necessary to broaden our representation to segments of the community that have not normally been heard – and our allies – in order to grow our base.

There are varying views at this point about the ability still to effect change with respect to the Georgetown contract.  For my part, I believe a solid analysis of the transition plan – even though we all agree it came far too late – might still have a chance of identifying critical reasons for an emergency extension, and I doubt that any other action before the end of August will have much effect. 

There is a more fundamental issue here, however, that is about not being taken for granted in future and about being viewed from here on as an integral part of a diverse D.C. population.  There is a lot we can do on this front.  To that end, please pay close attention to the DD Council’s website - https://ddc.dc.gov/ - in the coming days for further news about gathering and organizing stakeholders.  For starters, if you haven't done it already, I encourage everyone reading this to put onto their calendars the September 19 hearing on D.C. statehood (10:00 at the House Rayburn Office Building) – see https://www.showup4dc.com/.   

Showing up reliably and insisting on being recognized and valued citizens of the District of Columbia is going to be our best insurance against future episodes of this kind. 

More to come on all of this -

Friday, August 9, 2019

Is There More to Say to DDS about the Health Initiative?


At the D.C. Developmental Disabilities Council meeting yesterday, a representative from Deputy Mayor Turnage’s office repeated an offer already made to, and rejected by, advocacy groups in a meeting with the deputy mayor on Monday – namely, that the D.C. government is willing to schedule weekly listening sessions between DDS director Reese and advocates between now and the end of August to hear about any specific shortcomings in the proposed transition plan (https://dds.dc.gov/sites/default/files/dc/sites/dds/page_content/attachments/DDSGeorgetownUCEDDPlan-71919.pdf) . However, there is no offer to extend the Georgetown contract beyond its August 31 end date unless advocates can demonstrate that an emergency extension is needed in order to address clear gaps in the transition plan – a very tall order given limited time and the interconnectedness of the services Georgetown has provided.

There was also a whiff of this offer in Andy Reese’s closing remarks Wednesday on the Kojo Nnamdi show (https://thekojonnamdishow.org/shows/2019-08-07/upcoming-changes-in-d-c-disability-services-spark-public-pushback).   However, this “clean up” effort is not what anyone in the advocacy community had in mind in remarks at the July 23 roundtable hosted by Brianne Nadeau (http://dc.granicus.com/MediaPlayer.php?view_id=2&clip_id=5144).  In the DD Council statement I delivered (as DD Council chair) at the roundtable, we pointed out that “the transition plan just issued by DDS [on July 19] was made public far too late for adequate discussion to take place on the representations it makes about plans to ensure Health Initiative services are appropriately sustained.  A transition plan for such an essential set of services needs to be created in partnership with people receiving services and other stakeholders, and this unfortunately has not been the case.”  Now the DC government is offering three weeks.

At the same roundtable, Quality Trust’s Phyllis Holton testified, “The best transition plan would be one that was informed by community engagement – and integrates the perspective and experiences of impacted stakeholders, including service providers, people with disabilities, family members, and advocates.”  Nothing – not even a limited extension, much less the year or more advocated by some – is being offered in order to allow for this sort of input and dialogue.  While the deputy mayor’s office yesterday acknowledged it “fumbled” in this case, no remedy is being offered beyond listening sessions as the clock ticks down to the contract’s expiration.

Over a month ago, the DD Council offered to facilitate a conversation between DDS and the advocacy community, and that offer was renewed in my statement on July 23.  DDS has shown no interest in this approach, instead allowing the clock to keep ticking.  So here we are.  Tell me what you think: 

·       Should the advocacy community refuse to engage in further discussions, in the face of a near-term deadline and little prospect of any give in the government’s perspective; or
·       Is it worthwhile to talk further with Andy (at a time and place of the community’s, not DDS’, choosing) as the summer, and the contract, wind down, in hopes of convincing him to make limited last-minute adjustments?

Time to make yourselves heard.

Sunday, July 28, 2019

D.C. Government, Please Don't Stonewall on Georgetown


The local press continues to keep the pressure on with respect to the DDA Health Initiative contract.  In the Post’s Metro section today, Theresa Vargas has another article about last Tuesday’s roundtable:  https://wapo.st/2GxBIJK and this week’s City Paper also covers the roundtable (https://tinyurl.com/y4uazgfs) as well as council member Brianne Nadeau’s response to the government’s resistance to advocates’ entreaties (https://tinyurl.com/y3n4nrbu).  Former HHS executive Bob Williams has a Local Opinion column, also in today’s Metro section:  https://wapo.st/2GvqIwH.

In short, this issue is not going away, nor should it.  At last night’s Quality Trust (https://www.dcqualitytrust.org/) gala the issue was on nearly everyone’s lips.  Speaking with DDS director Andy Reese, Bob Williams and I were dismayed to learn that even now, there is no give whatever from the D.C. government on this issue, even though most advocates have asked only for a slight extension of the contract - not an extreme position.

Frankly, I do not know how effective the transition plan issued by DDS a week ago could be at carrying on the essential services that have been available under the Georgetown contract.  The answer to that is intricate, and requires a degree of analysis with respect to Georgetown’s federally-funded activities in relation to those funded under the local contract.  What I do know without any question, however, is that by refusing to allow the time for a substantive dialogue that could build confidence in its transition planning, DDS is allowing the trust that has been built up painstakingly with the disability community to fray, seemingly without a recognition of the far-reaching consequences this will have.  It isn’t enough to say (I’m paraphrasing), “We made a little mistake here,” and then move on.  People want to know they are being heard.

I’ve said for some time, and I repeated to Andy last night, that since the closeout of the Evans contract, DDS has had the opportunity – which it has not taken up – to engage the community on its vision for disability services in D.C. going forward, and to have a serious, open-ended discussion with stakeholders about its strategy for addressing the needs of D.C.’s developmentally disabled residents.  As we know, the eligibility criteria for services under the DDS-administered waiver are too restrictive – excluding, in particular, many of our autistic citizens - yet budget concerns are keeping both the administration and the council from confronting this issue. 

The lack of receptivity to advocates’ dismay over the abrupt cancellation of the Georgetown contract is a major setback on the road to reaching a fair system of disability services in D.C.  Please – Reese, Turnage, Bowser – stop dismissing the legitimate concerns of the disability community.  It’s time to take this seriously.

Friday, July 26, 2019

Dialogue and Advocacy


You may be wondering why I haven’t written since the Tuesday roundtable on the Georgetown contract.  The reason is that I’ve sent a letter to the editor at the Post and am waiting to hear if it will be published, so I can’t repeat the same message here in my blog.  In the meantime, here is the link to the video from the Tuesday event:  http://dc.granicus.com/MediaPlayer.php?view_id=2&clip_id=5144.  There were more than twenty witnesses, myself included (on behalf of the DD Council).  And, to keep you up to date, an article in today’s Post:  https://wapo.st/2ZfvHZC.

I’d like to use my soapbox today, then, to make a couple of broader points about the way in which the relationship between DDS and the disability community is evolving. 

First, to Andy Reese:  I believe you were sincere in the comment you submitted on July 9 (see comments section on my blog post, “Andy, You Need a Plan” below or click here: https://www.ddinwdc.com/2019/07/andy-you-need-plan.html#comment-form).  I think you truly believe that the combination of HCBS Advisory Committee, Supporting Families Community of Practice, public Family Support Council, Project Action! and monthly person-centered organization meetings provides ample opportunity for input to DDS decision making.  I understand the point you’re making, but I do not agree, for these reasons: 

1)      The conclusion of the Evans case (look in the blog archive over to the right and read “Where We’ve Come From,” 9/25/14 and “Big Developments in the New Year,” 1/9/17) in January 2017 was a golden, and necessary, opportunity for DDS to spell out its proposed post-Evans vision and to invite a dialogue on future strategy with the advocacy community that had done so much to help achieve that important milestone.  Two and a half years later, this hasn’t happened, and none of the meetings you’ve cited pertains to the strategic direction DDS is taking.

2)      Such a strategic dialogue – hopefully rich with data about the size and needs of the D.C. population with development disabilities – would have brought creativity and energy to shaping the future and also set the stage for new breakthroughs.  It also would have established a shared perspective for discussion of the types of individual issues such as housing, contributions to costs and now, health care issues that DDS is rolling out now with little context or connection.  It’s not too late, though, for this dialogue to take place.

3)      Taken on their own, the array of individual meetings you point to has its own set of inherent problems:  
a) They are often very lengthy, and a person would have to attend each and every one of them to stay aware - no one has time for all that;  
b) Many of the discussions are highly redundant “listening sessions” and provide little clarity as to what is going to be done with the comments provided;  
c) Often the meetings are filled with elusive technocratic jargon that anyone outside (and many inside) the bureaucracy can’t hope to understand fully.  
d) Finally, many of us doubt the effectiveness, and are concerned about the consequences, of candid discussion in sessions with operational, as opposed to policy-setting, DDS staff.

Now, to my colleagues in the local advocacy community:  In my most recent blog post, you got the sense that I do not believe “anything goes” with respect to tactics when we’re trying to effect change.  Specifically:

1)      Keep it local.  Although my blog centers on developmental disability issues, I never lose sight of the fact that we’re operating in the District of Columbia, whose democratic participation on the national stage is limited.  In fact, I would be tempted to add a third “D” for democracy to the title of my blog, and I hope none of my readers are happy to tolerate the denial of our right to determine our own future (and get voting representation in the House and Senate).  Read my last blog post on this, and let’s keep it local (meaning D.C. only).  Enough said.

2)      Respect roles and boundaries.  I worked in government for over three decades, and I respect the roles of people who are trying to make a difference and running large and complicated programs.  Andy Reese’s job as director of D.C.’s Department on Disability Services is an important one to which he brings integrity and dedication.  Let’s not immediately lord it over him by appealing to the mayor over his head.  Also, raising the specter of a return to court oversight is not a prospect that should be raised lightly.

3)      Don’t exaggerate or distort.  When government witnesses testify, they raise their right hands and swear to tell the whole truth.  The same is not required of other witnesses, but we need to hold ourselves to the same standard and ensure we are not overstating the case or stretching the facts.

4)      “I got mine” is not a solid basis for advocacy.  Many of my readers receive, or have family members receiving, services in D.C.  Others do not, and wish they did.  D.C. services don’t reach everyone they should, as we all know (another reason for a strategic dialogue!), so please remember, when you advocate don’t just talk about protecting what you’ve got.  There’s more at stake.

Some of what I’m writing in my blog lately is making me less popular, but I don’t expect everyone to agree with me.  These are difficult subjects and we need to wrestle with them together.  I do think, though, that we owe it to ourselves and to one another to be more reflective and to do a better job of remembering we’re in this together.

Have a good weekend.

Friday, July 19, 2019

The Georgetown Contract is a Local Issue



I’ve been writing a lot lately about two issues:  the DDA Health Initiative contract with Georgetown and the upcoming hearing in the House of Representatives (now postponed until September) on the D.C. statehood bill.  Little did I know that these would begin to converge.

I had wanted to write today about my dismay over the results of a Gallup survey showing weak support across the country for D.C. statehood: https://wapo.st/2JHx2BR?tid=ss_mail&utm_term=.cf9204734cb3.  Mostly this reflects a profound lack of understanding across the nation that there are real people, some with very deep roots, in the District of Columbia.  As those of us living here are painfully aware, D.C.’s lack of voting representation ensures that Congress in general, national politicians more generally, and sometimes other well intentioned people looking through a national lens, tend to lose perspective on what is national D.C. business and what is local business affecting residents of the District and our decision makers.

The DDA Health Initiative and the Georgetown contract under which it has been implemented are local business.   The roundtable planned by the D.C. council on Tuesday (https://dccouncil.us/event/committee-of-the-whole-human-services-public-roundtable/) is a completely appropriate response to the attention that has been brought to the abrupt closeout of the Georgetown contract by local advocates and by Theresa Vargas in the local section of the Washington Post.  I will be at the Tuesday roundtable and will make a statement on the part of the D.C. Developmental Disabilities Council, which I currently chair.  I feel strongly that Andy Reese owed it to the people served by the Department on Disability Services to engage far earlier with the disability community about DDS intentions with respect to this contract and the services it provides, and to engage very substantively in ensuring everyone understood well how those services would continue to be provided and, if appropriate after those consultations, transitioned from Georgetown.  The email Andy sent out a week ago was too little and too late to constitute meaningful consultation or inspire confidence.

That said,  I was taken aback by the comments made in the second Vargas article (https://tinyurl.com/y2kj7sjq) by former DDS director Laura Nuss, Andy’s predecessor at DDS, since she is no longer engaged in D.C. disability issues and is now working for Virginia’s behavioral health department.  I have even greater misgivings about the letter sent to Mayor Bowser yesterday by a group of former directors of DD services of other states, including Nancy Thaler who used to chair the national association of DD directors.  Nothing in their letter would be objectionable coming from local advocates, but there is something intrusive to me in their assumption that they should weigh in on a matter such as this, especially when they invoke the Evans case in a way which seems to imply its resolution by the courts was premature.

Governance in the District is tricky, precisely because the whole country sometimes thinks it has the right to look over your shoulder on local matters.  That’s even more reason, if he needed one, why Andy Reese needed to be consulting with, explaining, and – above all – listening and talking with – people who were going to be affected to make sure stakeholders had been heard and had their say about the direction things are taking.  In this post-Evans era it is essential – as I’ve written in these pages over the past several months – for DDS to be engaging people on the broad strategy it wants to pursue, not surprising folks by rolling out one policy after another or, in this case, withdrawing a trusted provider without ample prior discussion and appropriate transition planning. 

It’s a lot harder to clean up a mess than it is not to create one, and this is a mess of DDS' making.  However, while some may feel that any firepower, from wherever, against DDS is the right way to go, I am always concerned about what happens when our local prerogatives are upended by people with national agendas.  Local voices – even those of the 2000 or so people who actually receive the services in question  – can get drowned out in these circumstances.   I hope local families, advocates and professionals will all keep our eyes firmly on the ball and make sure we are amplifying the local voices who most need to be heard on this matter. 

See you on Tuesday -